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Dentistry/why do we use warm salt water rinse after extraction??


Scott wrote at 2011-01-20 23:29:02
High salt concentrations, in addition to the benefits already mentioned, also has an antibacterial benefit. Bacteria, just like our body's cells have a specific concentration of sodium and chlorides. When you rinse with salt water, you upset the bacteria's cellular osmolality to the point where it will lose too much intracellular water, killing it.  

Dr. Amitabha Chakraborty MDS wrote at 2011-05-23 14:23:07
Practically post extraction mouth wash has no clinical role and it is practiced by dentists as an ignorant practice from years. Use of rinsing mouth 24 hours after extraction with warm salt water is a common practice from long time. Most of the dentists advise to dissolve some salt in a glass of drinking water and rinse. Almost all the books that present the procedure of extraction have advised the same practice. The purpose of this procedure is unknown. Every dentist and every book has their own explanation in support of this procedure. No literature has been found to support the benefits of this common practice. In fact one literature has been found where viability of using saline as mouthwash has been questioned. It is also to be mentioned that no scientific evidence has been found in support of salt water mouth rinse has more beneficial effect than rinsing mouth with plain tap water in respect to wound healing or maintenance of oral hygiene. Beside that it may seriously contaminate the wound especially in an immuno-compromised patient. Moreover no fixed guidelines are advocated about the amount of salt and water to be mixed. Practically one glass, one cup or one spoon doesn’t mean anything. Most of salt water the patient mixes that is either hypotonic or mostly highly hypertonic. It is to be noted that unsupported gingival tissues collapse into the clot-filled tooth socket, which helps keep the clot in position. Within 48 hours an ingrowth of fibroblasts and capillaries occurs, and epithelium migrates over the socket wall until it contacts epithelium or granulation tissue. So the blood clot in the socket is mechanically secured in the socket within 48 hours.Now it is meaningless to think that we are cleaning extracted socket as mentioned by Dr. Mark, as if it an empty space. It is assumed  that Indian doctors are illiterate, so their degree are not recognized in USA. Here it is funny to see that an American DDS is advising a patient like a quack practitioner.

M wrote at 2012-06-30 18:40:27
Amazing - he can spell periapical but cannot spell "that"!

Stoneman 28 wrote at 2014-02-25 14:04:25
This isn't a text message and using dat for that and n for and made your question really hard to understand.  


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Mark Bornfeld DDS


I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.


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